Exploring the Possible Applicability of Yagya in Present Time

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Ayurveda evam Samagra Swasthya Shodhamala 2020;2(2):1 Exploring the Possible Applicability of Yagya in Present Time: A Review Vandana Shrivastava 1 , Saurabh Mishra 2,* , Alka Mishra 1 1. Department of Ayurveda and Holistic Health, Dev Sanskriti Vishwavidyalaya, Gayatrikunj-Shantikunj, Haridwar, Uttarakhand, India 2. Dev Sanskriti Vishwavidyalaya, Gayatrikunj-Shantikunj, Haridwar, Uttarakhand, India * Corresponding author: Saurabh Mishra - Email: [email protected] Cite this research article as follows: Shrivastava V, Mishra S, Mishra A. Exploring the Possible Applicability of Yagya in Present Time: A Review. Ayurveda evam Samagra Swasthya Shodhamala. 2020;2(2):1. [cited date]. Available from: https://sites.google.com/dsvv.ac.in/shodhamala-dahh/asssm22/asssm221 License information for readers: The original contents published in this research publication, which include research articles, case reports, etc., are published under the Creative Commons Attribution (CC BY 4.0) License. Anyone may reproduce, distribute, translate and create derivative works of this original content, subject to full attribution to the original research publication (Ayurveda evam Samagra Swasthya Shodhamala) and authors. The full terms of this license may be seen at https://creativecommons.org/licenses/by/4.0/ Published by: Department of Ayurveda and Holistic Health Dev Sanskriti Vishwavidyalaya Gayatrikunj-Shantikunj, Haridwar - 249411 Uttarakhand, India Email: [email protected] Mobile: +91 9258360953, +91 8954890390 Website: http://www.dsvv.ac.in/dahh Published online: 4 June 2020 1

Transcript of Exploring the Possible Applicability of Yagya in Present Time

Ayurveda evam Samagra Swasthya Shodhamala 2020;2(2):1

Exploring the Possible Applicability of Yagya in Present Time: A Review

Vandana Shrivastava1, Saurabh Mishra2,*, Alka Mishra1

1. Department of Ayurveda and Holistic Health, Dev Sanskriti Vishwavidyalaya, Gayatrikunj-Shantikunj, Haridwar, Uttarakhand, India2. Dev Sanskriti Vishwavidyalaya, Gayatrikunj-Shantikunj, Haridwar, Uttarakhand, India

*Corresponding author: Saurabh Mishra - Email: [email protected]

Cite this research article as follows: Shrivastava V, Mishra S, Mishra A. Exploring the Possible Applicability of Yagya in Present Time: A Review. Ayurveda evam Samagra Swasthya Shodhamala. 2020;2(2):1. [cited date]. Available from: https://sites.google.com/dsvv.ac.in/shodhamala-dahh/asssm22/asssm221

License information for readers:The original contents published in this research publication, which include research articles, case reports, etc., are published under the Creative Commons Attribution (CC BY 4.0) License. Anyone may reproduce, distribute, translate and create derivative works of this original content, subject to full attribution to the original research publication (Ayurveda evam Samagra Swasthya Shodhamala) and authors. The full terms of this license may be seen at https://creativecommons.org/licenses/by/4.0/

Published by:Department of Ayurveda and Holistic Health Dev Sanskriti Vishwavidyalaya Gayatrikunj-Shantikunj, Haridwar - 249411Uttarakhand, IndiaEmail: [email protected] Mobile: +91 9258360953, +91 8954890390Website: http://www.dsvv.ac.in/dahh

Published online: 4 June 2020

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Abstract

Yagya has been one of the core elements of the ancient Indian Culture ever since the Vedic era, and is also an effective therapeutic procedure. The present review article explores the applicability of Yagya during the present time, wherein the principles, procedure and the possible mode of action of Yagya have been described; the efficacy of Ayurvedic medicines and medicinal herbs in the management of various diseases caused by viruses, as well as the diseases that have symptoms similar to those prevalent during present time, have been discussed; the ethnobotanical use of herbal fumigation in the management of various diseases, has been presented; as well as, the efficacy of Yagya Therapy / Integrative approach (including Yagya Therapy) in the management of symptoms of various disease conditions has been illustrated. The review also briefly illustrates the ancient Ayurvedic perspective about epidemics and the possible role of Yagya as a management approach for the same. Based on the information presented herein, the applicability of Yagya in the present time seems to be a promising possibility, that is worth exploring further through proper experimentation and analysis.

Keywords: Pandemic, Epidemic, Infectious Diseases, Public Health, Environment Purification, Yagya, Ayurveda, Herbs, Mantra, Traditional Medicine

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Introduction

The present review article explores the possible applicability of Yagya in the present time, which has been one of the core elements of the ancient Indian Culture ever since the Vedic era, and is also an effective therapeutic procedure. The review has been divided into the following sections, as listed below.

1 Introduction of Yagya and its mode of action

2 Interventions involving medicinal herbs and Ayurvedic medicines

2.1 Ayurvedic advisories about some diseases caused by viruses

2.2 Evidence based Ayurvedic management of various diseases

2.3 Studies on the therapeutic efficacy of various Ayurvedic interventions and medicinal herbs for the management of diseases that have symptoms similar to those prevalent during present time

3 Ethnobotanical Review of Medicinal Plants Used in Different Countries - Use of Herbal Fumigation for Various Diseases

4 Studies indicating the efficacy of Yagya Therapy / Integrative Approach (including Yagya Therapy) in the management of symptoms of various disease conditions

5 Ayurvedic perspective about epidemics and the therapeutic effects of Yagya / Herbs / Mantra as mentioned in ancient Vedic scriptures

5.1 Causes and symptoms of epidemics

5.2 Suggested management of diseases that affect people during epidemics

5.3 How does Yagya incorporate the management measures suggested above?

5.4 References from ancient Vedic scriptures that describe the therapeutic effects of Yagya / Herbs / Mantra

1. Introduction of Yagya and its mode of action

Yagya is an ancient Indian therapeutic procedure, which nurtures nature's ecological balance, resulting in all-round well-being of an individual, as well as the entire cosmos [1].

1.1 Subtle and emotional aspects of Yagya affecting a person

With regards to the subtle and emotional aspects of Yagya affecting a person, the feeling of 'giving' is inherently associated with Yagya, i.e. feeling, understanding and acknowledging that a person is an inseparable constituent of the nature and society, has immensely benefited from these throughout life, and hence, it is the duty of the person to give a part of one's compassion, feelings, endeavors, resources, etc. for the betterment of the nature and society; this sense of responsibility significantly contributes to the positive restructuring of the psyche of the person, leading to an all round physical, mental and emotional well being; also, the nature reciprocates these feelings, which further contributes to the overall betterment of the person [1-4].

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1.2 Therapeutic effect of herbal medicinal fumes generated in Yagya

In the process of Yagya, coarse powder made up of dry plant-medicines (havan samagri), as well as selected nutritious and aromatic substances, undergoes transformation into vapor phase; these phytomedicines spread along with the volatile substances and gases, released by the slow and controlled combustion process in Yagya fire [1-4]. In addition, frequent oral and nasal inhalation of phytomedicines, present in the medicinal-fumes generated in Yagya, takes place because of the rhythmic deep breathing exercise (pranayama) and chanting of certain Vedic hymns (Mantras) by the subjects (patients) throughout the duration of the Yagya, which contributes to the efficient pulmonary administration of phytomedicines, and the desired therapeutic benefit [1-4].

In order to understand the composition of the herbal mixture (havan samagri) used for the treatment of a specific disease, it is necessary to understand the Ayurvedic (ancient traditional Indian medical science - Ayurveda) perspective with regards to the diagnosis of diseases and their treatment.

According to Ayurveda, a healthy human body is supposed to have a relatively stable equilibrium (congenial homeostasis) of Dosha (psycho-biological rhythm - Vata, Pitta, Kapha), Agni (digestion and metabolism), Dhatu (body tissues and their nourishing elements) and Mala (excreta), as well as the well being of soul, senses and mind [5-9]. Imbalance in this equilibrium leads to disease, which may be due to internal reasons like weakness, etc., or due to external factors, like bacteria, virus, other pathogens, particulate matter, etc.; the aim of the therapy is to restore this balance [5-9].Thus, Ayurveda restores the natural equilibrium of the body, mind and soul, because of which the vitality of an individual is restored, and the disease causing elements like virus, bacteria, etc. become ineffective.Several studies, that illustrate the therapeutic efficacy of various Ayurvedic interventions and medicinal herbs in the management of the diseases that have symptoms similar to those prevalent during present time, have been discussed briefly in Section 2 of this article.

Thus, the ingredients of the herbal mixture (havan samagri) used in the Yagya have properties of pacifying the vitiated elements present in a person, providing strength and rejuvenation, leading to the relief in various disease symptoms; in this manner, their vapors help in the treatment of the disease condition [1-4].

Vedic texts mention the use of herbal fumes generated from Yagya for health benefits, as well as purification of environment [1-4]. Yagya (which includes generation of herbal medicinal fumes) has been widely used in India to combat seasonal epidemics and purify the environment [1-4]. Herbal fumes (Dhoomnasya) are regularly used in Ayurveda as effective approaches for restoration of health [7,8]. In modern times, several studies depict the ethnobotanical use (in different countries) of herbal fumes for therapeutic purposes; some such studies have been discussed briefly in Section 3 of this article.

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1.3 Effect of Vedic hymns (Mantras) chanted during Yagya

The Vedic hymns (Mantras) chanted during Yagya are intense spiritual prayers to the Almighty for the well being of both the self, as well as the entire cosmos [1-4,10,11]. During the chanting of these Mantras, the participants are supposed to continuously meditate on their meaning; thus, this chanting creates a continuous process of meditation and contemplation, which contributes to the positive restructuring of the psyche of the participants [1-4,10,11]. The Mantras have a unique combination of syllables and words, which when chanted in a rhythmic manner, lead to the creation of distinct and powerful sound waves that contribute to the desired therapeutic benefit on the physical, mental and emotional level [1-4,10,11]. The chanting of Gayatri Mantra causes beneficial effects with regards to various physical, mental and emotional conditions [1-4,10,11].

1.4 Effect of bright light and heat of Yagya fire

During Yagya, the patient has to sit near the Yagya fire for a specified amount of time; this way, the patient experiences the bright light and heat of the fire [1-4], which have their own therapeutic advantages.

1.5 Subtle working principle of Yagya

With regards to the subtle working principle of Yagya, it aims to acquire the prana (vital life force [12,13]) from the cosmos, and regulate its flow in the body, for overall well being [1]. Similar principles are found in various other ancient traditions and medicinal practices of both India and abroad, such as Chinese Medicine, Varmakkalai (a branch of Siddha system of South Indian Traditional Medicine), Ayurveda, Marma Therapy, Yagya Therapy, Yoga, etc. 'qi' is the vital substance of life in Chinese philosophy; 'qi' circulates in channels (mai) throughout the body according to acupuncture and moxibustion theories, in which qi is also central to diagnostic and therapeutic techniques; Tuina massage and acupressure, for instance, also aim at equalizing qi through stimulation [14]. As per the philosophy of Varmakkalai, 'piranam' (prana), the root of human existence, circulates via a system of channels through the body, the ‘nati’ (Sanskrit ‘nadi’) channels. If unbalanced, practitioners of vital spot medicine attempt to equalize the flow of piranam by stimulating varmam loci, which lie on nati channels, and are therefore spots of concentrated piranam force [14]. Similarly, in Marma Therapy of Ayurveda, the flow of prana in the body is rectified by stimulating vital spots in the body, called Marma [14]. About the Yogic practice of Pranayama, Hatha Yoga Pradipika (2/5) [15] states that when all the dirty Nadis (subtle veins and nerves) are purified, then only a Sadhak (practitioner of spirituality) becomes capable of properly controlling the prana. The Ayurvedic medicines and therapies also aim to regain the balance of the Doshas (bio-humors) and other vital elements, which in turn ascertains proper coordination between the body, mind and soul [5,7].

Thus, Yagya Therapy (Yagyopathy) presents a multi-modal approach for the treatment of diseases.In this regard, several studies, that illustrate the application and efficacy of Yagya in the management of symptoms of various disease conditions, have been briefly discussed in Section 4 of this article.

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The historical perspective about epidemics and the possible role of Yagya as a remedial measure for the same, have been briefly discussed in Section 5 of this article.

1.6 Suggested Method of doing Yagya

Science and Philosophy of Yagya can be read from [1]. The Procedure of Yagya, along with the mantras, their meanings and the associated feelings have been described in [10]. The audio of Yagya Procedure can be accessed from [http://audio.awgp.org/album/play/43_yagya_karmkand]. After the completion of Yagya, the participants are required to do Pranayama for about 15 minutes in its vicinity.

If possible, the following herbal ingredients [http://www.awgp.org/] (or whichever are available) may be used in the herbal mixture (havan samagri) for Yagya; these herbs have known beneficial effects with regards to various disease conditions including respiratory diseases and associated ailments [7,16], as well as purification of environment [1]:Tulasi (Ocimum tenuiflorum), Giloy (Tinospora cordifolia), Kalmegh (Andrographis paniculata), Neem (Azadirachta indica), Jatamansi (Nardostachys jatamansi), Jayphal and Javitri (Myristica Fragrans), Nagarmotha (Cyperus scariosus), Clove (Syzygium aromaticum), Daruhaldi (Berberis aristata), Devdaru (Cedrus deodara), Kapoor (Bhimseni) (Cinnamomum Camphora), Sugandhbala (Valeriana jatamansi Jones (Syn. V. wallichii DC.)), Agar (Aquilaria malaccensis), Tagar (Valeriana jatamansi), Agya Ghas (Cymbopogon martini).

In case it is not feasible to do Yagya physically, then one can listen to the Audio of the Yagya Procedure given above, and mentally / emotionally perform the Yagya - the Mantras and the feelings associated with them have their own benefits [11].

The various aspects of Yagya mentioned above are being described briefly in the following sections.

2. Interventions involving medicinal herbs and Ayurvedic medicines

2.1 Ayurvedic advisories about some diseases caused by viruses

2.1.1 An advisory titled 'Ayurvedic advocacy for management of Nipah Virus (NiV) infection' is available on the website of Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of AYUSH, Government of India [17]. The details of this advisory are as follows.

Nipah virus (NiV) is a paramyxovirus transmitted to humans from animals, which have been affected by this virus. It can also be transmitted from infected humans to other humans through direct contact.

NiV causes a symptomatic or mild infection in some of the patients, but most of the clinical cases present with acute neurological signs and symptoms. The initial symptoms appear are influenza like, with high fever, headache, and myalgia.

In Ayurvedic perspectives, it comes under the category of Vata Shlaishmik Jwara initially, which further extends to Sannipataja Jwara.

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Prophylatic Measures / Immunomodulatory drugs Measures should be taken to strengthen the immune system through healthy dietic

habits. Amlaki Rasayana 3 gm, twice a day with water. Ashwagandadi Avaleha 10 gm twice a day with lukewarm milk. Haridra khand 5 gm twice a day with lukewarm milk. Samshamani vati 500 mg twice a day. Tulasi 3-5 leaves should be consumed a fresh or in tea twice in a day. Indukantha kashay 10 ml with 40 ml of warm water twice a day before food.

For Fever, Headache, and Myalgia Amritottar kashaya 30 ml twice a day AYUSH- 64/Sanjivini vati 2 tablet thrice a day. Bilwadi gutika 2 tablet twice a day. If symptoms of upper respiratory tract involvement is present - AYUSH-64 with

Tribhuvan Kirti Rasa.

High Fever with early neurological symptoms Swarna Sutshekhar Rasa 125 mg twice a day with honey for 7 days. Swarna Malti Rasa 125 mg twice a day with honey .

For Hydration Shadang Paniya/Drakshadi kwatha

Note The dose and duration of the treatment may be decided by the physician according to

the age and condition of the patient.This advocacy is for information only. However, the health seekers may approach a qualified registered Ayurveda medical practioner for necessary advice.

2.1.2 An advisory titled 'Ayurvedic perspective of swine flu' is available on the website of National Health Portal (NHP), Centre for Health Informatics, National Institute of Health and Family Welfare, Ministry of Health and Family Welfare, Government of India [18]; the details of the same may be read at this webpage [18].

2.1.3 An advisory titled 'Ayurveda’s immunity boosting measures for self care during COVID 19 crisis' is available on the website of Ministry of AYUSH, Government of India [19]. The details of this advisory are as follows.

In the wake of the Covid 19 outbreak, entire mankind across the globe is suffering. Enhancing the body’s natural defence system (immunity) plays an important role in maintaining optimum health.

We all know that prevention is better than cure. While there is no medicine for COVID-19 as

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of now, it will be good to take preventive measures which boost our immunity in these times.

Ayurveda, being the science of life, propagates the gifts of nature in maintaining healthy and happy living. Ayurveda’s extensive knowledge base on preventive care, derives from the concepts of “Dinacharya” - daily regimes and “Ritucharya” - seasonal regimes to maintain healthy life. It is a plant-based science. The simplicity of awareness about oneself, and the harmony each individual can achieve by uplifting and maintaining his or her immunity is emphasized across Ayurveda’s classical scriptures.

Ministry of AYUSH recommends the following self-care guidelines for preventive health measures and boosting immunity with special reference to respiratory health. These are supported by Ayurvedic literature and scientific publications.

Recommended Measures

I General Measures 1. Drink warm water throughout the day. 2. Daily practice of Yogasana, Pranayama and meditation for at least 30 minutes as

advised by Ministry of AYUSH (#YOGAatHome #StayHome #StaySafe) 3. Spices like Haldi (Turmeric), Jeera (Cumin), Dhaniya (Coriander) and Lahsun

(Garlic) are recommended in cooking.

II Ayurvedic Immunity Promoting Measures 1. Take Chyavanprash 10gm (1 tsf) in the morning. Diabetics should take sugar free

Chyavanprash. 2. Drink herbal tea / decoction (Kadha) made from Tulsi (Basil), Dalchini

(Cinnamon), Kalimirch (Black pepper), Shunthi (Dry Ginger) and Munakka (Raisin) - once or twice a day. Add jaggery (natural sugar) and / or fresh lemon juice to your taste, if needed.

3. Golden Milk- Half tea spoon Haldi (turmeric) powder in 150 ml hot milk - once or twice a day.

III Simple Ayurvedic Procedures 1. Nasal application - Apply sesame oil / coconut oil or Ghee in both the nostrils

(Pratimarsh Nasya) in morning and evening. 2. Oil pulling therapy- Take 1 table spoon sesame or coconut oil in mouth. Do not

drink, Swish in the mouth for 2 to 3 minutes and spit it off followed by warm water rinse. This can be done once or twice a day.

IV During dry cough / sore throat 1. Steam inhalation with fresh Pudina (Mint) leaves or Ajwain (Caraway seeds) can be

practiced once in a day. 2. Lavang (Clove) powder mixed with natural sugar / honey can be taken 2-3 times a

day in case of cough or throat irritation. 3. These measures generally treat normal dry cough and sore throat. However, it is

best to consult doctors if these symptoms persist.

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1 The above measures can be followed to the extent possible as per an individual’s convenience.2 These measures are recommended by following eminent Vaidyas from across the Country as they may possibly boost an individual’s immunity against infections.

Disclaimer: The above advisory does not claim to be treatment for COVID 19.

2.1.4 An advisory titled 'Advisory from Ministry of AYUSH for meeting the challenge arising out of spread of Corona Virus (COVID-19) in India' dated '06th March 2020' is available on the website of Ministry of AYUSH, Government of India [20]. The details of this advisory and the Ayurvedic interventions suggested therein are as follows.

As you are aware, incidences of Corona Virus (COVID-19) have been reported worldwide and 30 positive cases of Corona Virus have also been reported in India till date. Even though there is no panic response warranted, AYUSH being one of the important Ministry equipped for providing appropriate response to the circumstances arose due to this public health challenge, it is worthwhile to associate with other Stake holders in eliciting AYUSH based public health response considering the strength and evidences of these systems. In the past also, interventions under AYUSH systems had been varyingly used for making an effective public health response in similar situations faced in many States/UTs.

Keeping in view, Ministry of AYUSH with the recommendations from Research Councils under its administrative control has come out with an advisory (Copy enclosed as Annexure-I) which may be communicated /implemented through AYUSH personnel and facilities as per the prevailing system of medicine in your State/UT.

These interventions from different AYUSH systems of medicine are supported with evidences from promotion of immunity and help in improving the respiratory symptoms in similar diseases. In this regard, a separate list of references is also enclosed at Annexure-II (given at the end of the advisory [20]).

Annexure-I

Advisory from Ministry of AYUSH for meeting the challenge arising out of spread of Corona Virus (COVID-19) in India

Corona viruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). The new Corona virus disease (COVID-19) was first reported from Wuhan, China, on 31 December 2019. 72 countries reported COVID-19 incidence with 90,870 confirmed cases and 3112 deaths as per WHO factsheet as on 03.03.2020. As on 03.03.2020, 05 confirmed cases are reported in India from various parts.

Common signs of infection include fever, cough, myalgia, fatigue and breathing difficulties. In more severe cases, infection can cause pneumonia, severe acute respiratory syndrome, kidney failure and even death.

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The function of the immune system is critical in the human response to infectious disease. Viral infections induce oxidative stress and cause damage to airway epithelial cells. A growing body of evidence identifies stress, nutrition and immunity as a cofactor in infectious disease susceptibility and outcomes. The mainstay in management of corona viral infections has been supportive care, nutrition and preventing further progression in the absence of any antiviral agent or vaccine.

During Ebola outbreak in 2014 expert group of WHO has recommended that "it is ethical to offer unproven interventions with as yet unknown efficacy and adverse effects, as potential treatment or prevention" keeping in view no vaccine or anti-virals were available.

Approach of AYUSH systems:

The holistic approach of AYUSH systems of medicine gives focus on prevention through lifestyle modification, dietary management, prophylactic interventions for improving the immunity and simple remedies based on presentations of the symptoms.

For instance, emphasis on avoidance of causative factors and enhancing the immunity against host of infections are characteristics of Ayurveda management.

The AYUSH approach to manage the outbreak broadly comprise of:i. Preventive and prophylacticii. Symptom management of COVID-19 like illnessesiii. Add on Interventions to the conventional care

Based on potential & strength of AYUSH systems supported by evidences for promotion of immunity and help in improving the respiratory symptoms in similar diseases and as per the recommendations from the research councils under Ministry of AYUSH following system wise approach is recommended:

i. Preventive and prophylactic:Ayurveda:Samshamani Vati 500 mg. twice a day with warm water for 15 days. The medicine contains aqueous extract of Tinospora cordifolia.

ii. Symptom management of COVID-19 like illnessesAyurveda1. AYUSH-64 : 02 tablets twice a day2. Agasthya Hareetaki : 05 gm twice a day with warm water3. Anuthaila/Sesame oil 02 drops in each nostril daily in the morning

All these medicines should be taken in consultation with qualified physicians of respective AYUSH systems.

iii. Add on Interventions to the conventional careAyurveda1. AYUSH-64 : 02 tablets twice a day2. Agastya Hareetaki: 05 gm twice a day with warm water

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All these medicines should be taken in consultation with qualified physicians of respective AYUSH systems.

In addition, the following AYUSH specific measures may be adopted:The diet should be fresh, warm, easy to digest, containing whole cereals, seasonal vegetables etc. Frequent sipping of water boiled with Tulsi leaves, crushed ginger, and turmeric would be beneficial. Honey with a pinch of pepper powder is also beneficial in case cough. Cold, frozen and heavy foods may be best avoided. It is always beneficial to avoid direct exposure to cold breeze. Appropriate rest and timely sleep are advisable. The practice of Yogasana and Pranayama under the guidance of qualified Yoga instructor is recommended.

Common medicinal plants useful in similar symptoms are Tulsi (Ocimum sanctum), Guduchi (Tinospora cordifolia), Ginger (Zingiber officinale) and Turmeric (Curcuma longa).

2.2 Evidence based Ayurvedic management of various diseases

(a) A book titled ' Evidence based ayurvedic practice - based on CCRAS R&D contributions ' is available on the website of Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of AYUSH, Government of India [21]. This book gives evidence based studies for the Ayurvedic treatment of the following diseases (which include respiratory diseases as well): Anaemia, Bronchial Asthma, Cardiovascular Disease, Diabetes, Peptic Ulcer, Epilepsy, Filariasis, Fistula-in-ano, Haemorrhoids, Hemiplegia, Hypertension, Malaria, Obesity and Lipid Disorders, Paraplegia, Psoriasis, Rheumatoid Arthritis, Sciatica, Urolithiasis.

(b) A book titled ' Drug development for select diseases - evidence based approach - based on CCRAS R&D contributions' is available on the website of Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of AYUSH, Government of India [22]. This book gives evidence based studies for the development of Ayurvedic drugs for the following diseases and health conditions: Malaria, Epilepsy, Diabetes Mellitus, Psoriasis and Duodenal ulcer, Immunomodulatory, Anti-stress, General Health Promotion, Rheumatoid Arthritis, Ano Rectal disorders, Promotion of Health in Children, Diarrhoea and Fever in Children, Antenatal Care.

2.3 Studies on the therapeutic efficacy of various Ayurvedic interventions and medicinal herbs for the management of diseases that have symptoms similar to those prevalent during present time

This section reviews evidence based studies on the therapeutic efficacy of various Ayurvedic interventions and medicinal herbs for the management of diseases that have symptoms similar to those prevalent during present time. These diseases are Sinusitis, Allergic Rhinitis, Bronchitis, Bronchial Asthma and Pulmonary Tuberculosis (Table 1).

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Table 1: Evidence based studies on the therapeutic efficacy of various Ayurvedic interventions and medicinal herbs for the management of diseases that have symptoms similar to those prevalent during present time

Disease Ayurvedic Intervention Sample Result Ref

Uncomplicated chronic sinusitis

Tribhuvan kirti rasa (Tablet) 250 mg BD with Adrak swaras (juice of ginger), steam inhalation of Dasamula-kwath was administered twice a day followed by nasya of Anu tailam (oil) at a dose of 4 drops in both nostrils.Duration - 45 to 90 days

30 Overall clinical efficacy was 96.6%Intervention was found to be well tolerated in general and no side effects were reported

[23]

Chronic sinusitis (dushta pratishyaya)

Group-A - Trayodashanga Kwatha with Madhu given orally (45 days)Group-B - Pradhamana Nasya with Trikatu+Triphala Churna (7 sittings, on alternate days)Group-C - Initially Pradhamana Nasya (7 sittings, on alternate days), followed by oral administration of Trayodashanga Kwatha with Madhu (45 days)Follow-up - 1 month for each group

31

A-10B-11C-10

>75% relief in symptoms:A - 8 patientsB - 9 patientsC - 6 patients

[24]

Allergic rhinitis (pratishyaya)

Group-A : Haridra khanda (Orally) - 6gm twice a day Group-B : Pippalyadi taila (Nasya) + Haridra khanda (Orally) (Pippalyadi taila 4-8 drops in each nostril, 3 sittings of 7 days each with one week interval)Follow-up - 2 months

26A-11B-15

>75% relief in symptoms:A - 5 patientsB - 8 patients

>50% relief in symptoms:A - 9 patientsB - 14 patients

[25]

Allergic rhinitis (anurjata janita pratishyaya)

Group-A - Shunthi taila Nasya for 14 days, followed by internal drug Sudha Haridra 2gm TDS for 21daysGroup-B - Pradhamana Nasya with Katphal churna till samayaka shuddhi lakshana obtained, followed by internal drug Shuddha Haridra 2gm TDS for 21daysGroup-C - Oral drug Sudha Haridra 2gm TDS for 21daysFollow-up - 1 month for each group

63A-19B-23C-21

Symptoms like sneezing, rhinohorrea, headache, itching were almost completely relieved in all the groups

[26]

Acute bronchitis (kaphaja kasa)

Group-A : Haritaki Tablet with Usna jala BD, for 7 daysGroup-B : Saindhava Lavana Curna with Usna jala BD, for 7 daysGroup-C : Haritaki + Saindhava Lavana (in equal quantity) with Usna jala BD, for 7 days

19A-6B-6C-7

>90% relief in the symptoms in Group-C

Promising results in other groups as well

[27]

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Chronic bronchitis

Vyaghriharitaki avaleha - 10 g twice a day with lukewarm water, before meals, for 12 weeksFollow-up - 4 weeks

61 Significant relief in wheezing, chest pain, sore throat, nasal congestion, dyspnoea and productive cough was observed

[28]

Tamaka shvasa (bronchial asthma)

Puskaramooladi choorna (powder) - including Sati (Hedichum spicatum, Rose), Puskaramoola (Innula racemosa, Linn), and Amalaki (Emblica officinalis, Gaertn)9 gm powder was given in 3 divided doses with honey - administered for 6 weeks

25 Significant improvement in pulmonary function values

No adverse effects during the course of the study

[29]

Bronchial Asthma

Shirishadi polyherbal compound including Shirisha (Albizia lebbeck (L.) Benth.), Nagarmotha (Cyperus rotundus Linn.), and Kantkari (Solanum xanthocarpum Schrad and Wendl.)Shirishadi Ayurvedic Nebulizer, 2.5 mg (2.5 ml) twice in a day for first 15 days, and then S.O.S., followed by oral administration of Shirishadi Ghana Vati 500mg with lukewarm water, twice a day, for 1 month

20 Significant improvement in the pulmonary function with regards to dyspnea, cough, expectoration, wheezing, frequency of attack, paroxysms of dyspnea, PEFR, FVC, FEV1

[30]

Tamakashvasa (bronchial asthma)

Group-A - treated with Ghanasattva of Tamalaki (Phyllanthus fraternus Webster), 500mg, thrice daily, orally, for 45 days

10 Significant improvement in breathlessness, cough, rhonchi, expectoration, jaranashakti, ruchi and wheezing

[31]

Tamaka shwasa (bronchial asthma)

Nithyavirechana with Eranda thaila (castor oil) in a dose of 15-30 ml, once a day, for first 7 daysAlong with this, oral administration of Nayopayam kashaya (including Bala (Sida cardifolia), Jeeraka (Cumminum cyminum), and Shunthi (Zingiber officinale Rosc)) in a dose of 50 ml, twice a day, for 28 days

20 Significant improvement in breathlessness, cough, speech, sputum, respiratory rate, etc.

[32]

Tamaka swasa (bronchial asthma)

Herbal Padmapatradi yoga (including Padmapatra (Puskaramula) (Inula recemosa hook), Bharangi (Clerodendrum serratum), Malaya Vacha (Alpinia galanga), Shati (Hedychium Spicatum), Pippali (Piper longum)) - Administered four tablets (500 mg each) or 2 g per day in two divided doses, with lukewarm water, for 1 month

40 Significantly effective in reducing the severity of attack, and increasing peak expiratory flow rate, breath holding time

[33]

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Tamaka shwasa This is a review article about the efficacy of different formulations of Vasa (Adhatoda vasica Linn.) for Tamaka shwasaVasa Ghana (extract) - 2 gm, given b.i.d. with water for 21 daysVasa Ghrita (ghee - clarified butter) - 10 gm, given b.i.d. with water for 21 daysVasa Avaleha (swarasa / kwatha - decoction) - 10 gm, given b.i.d. with water for 28 days

- Significant improvement in symptoms of breathlessness, cough, wheezing, rhinitis, throat pain, etc.

[34]

Tamaka shwasa (bronchial asthma)

Group-A - Vasa avaleha (including Vasa (Adhatoda vasica Nees.), Sharkara (sugar candy), Go-Ghrita (cow ghee - clarified butter), Pippali (Piper longum Linn.), Madhu (honey))Group-B - granules of Vasa avalehaDose - 6 g twice a day with lukewarm water for the duration of 28 daysFollow-up - done after 14 days

A-32

B-34

Significant increase in peak expiratory flow rate, breath holding time, and decrease in frequency of attacks, absolute eosinophil count

Withdrawal of modern emergency drugs, improved quality of life

[35]

Rajayakshma (pulmonary tuberculosis)

Administration of Bhringarajasava as complementary drug along with Directly Observed Treatment Short – course chemotherapy (DOTS) regimeBhringarajasava includes Bhringaraja (Eclipta prostrate Linn.), Haritaki (Terminalia chebula Retz.), Pippali (Piper longum Linn.), Jatiphala (Myristica fragrance Houtt.), Lavanga (Sygizium aromaticum Linn.), Twak (Cinnamomum zeylanicum), Ela (Elatteria cardamomum), Tamalapatra (Cinnamomum tamala), Nagakesara (Messua ferrea), and Gudam (old cane jaggery)Dose - 30 ml with equal quantity of water, thrice a day, half an hour after food Duration: 2-3 months during the intensive phase of DOTSFollow-up: 6-8 months based on treatment category

30 Better, safer, and faster relief provided by the addition of Bhringarajasava to DOTS

[36]

3. Ethnobotanical Review of Medicinal Plants Used in Different Countries - Use of Herbal Fumigation for Various Diseases

This section reviews the ethnobotanical use of herbal fumigation for various diseases in different countries (Table 2).

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Table 2: Ethnobotanical use of herbal fumigation for various diseases in different countries.

Location / Country

Herbs Used Disease / Application Ref

Romania Anemone pulsatilla L. Insomnia [37]

Aruncus dioicus (Walter) Fernald Epilepsy, Insomnia

Carlina acaulis L. Fright

Salix alba L. Fright

Gratiola officinalis L. Fright during sleep, Epilepsy, Paralysis

Sudan Acacia nilotica subsp. adstringens (Schum. & Thonn.) Roberty

Cold and flu [38]

Acacia seyal Delile Rheumatic pain

Aristolochia bracteolata Lam. Ear infection

Combretum hartmannianum Schweinf. Rheumatic pain

Leptadenia pyrotechnica (Forssk.) Decne.

Rheumatic pain

Maerua pseudopetalosa (Gilg & Gilg-Ben.) DeWolf

Hypertension

Terminalia brownii Fresen. Rheumatic pain

Myanmar Volkameria inermis L. After childbirth [39]

Clausena excavata Burm.f. Ulcerated nose

Nicandra physalodes (L.) Gaertn. Toothache

Iran Astragalus hamosus L. Headache [40]

Euphorbia helioscopia L. Antiseptic environment

Hyoscyamus niger L. Eczema

Marrubium cuneatum Russell. Migraine

Peganum harmala L. Antiseptic environment

Solanum nigrum L. Eczema, Toothache

Ziziphora cliniopodioides Lam. Headache

Nerium oleander L. + Salix alba L. + Persica vulgaris L.

Headache

Ethiopia Echinops kebericho Mesfin After childbirth [41]

Otostegia fruticosa (Forssk.) Schweinf. ex Penzig

Disinfectant

Withania somnifera (L.) Dunal Stomach ache

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4. Studies indicating the efficacy of Yagya Therapy / Integrative Approach (including Yagya Therapy) in the management of symptoms of various disease conditions

This section reviews the effectiveness of Yagya Therapy / Integrative approach (including Yagya Therapy) in the management of symptoms of various disease conditions (Table 3).

Table 3: Effectiveness of Yagya Therapy / Integrative approach (including Yagya Therapy) in the management of symptoms of various disease conditions.

Disease Intervention Result Ref

Pulmonary tuberculosis

Clinical study was done with Yagya-therapy, which enables pulmonary administration of plant medicines

Promising outcome was seen in pulmonary tuberculosis patients

[42](pg. 85 of [1])

Crohn’s disease A case report about a male patient suffering from symptoms similar to those of Crohn's diseasePrescribed an integrated approach including Yagya Therapy (using an appropriate herbal formulation - havan samagri), and some other Ayurvedic interventions like decoction of medicinal herbs, dietary recommendations, etc.

Relief in abdominal painMarked relief in constipationNo swelling in legsReduction in stiffness in legsInrease in strength in legsStarted walking on his ownCould change posture from sitting to standing and vice versa, on his ownCould change side while lying down, on his ownSlight increase in weight

[43]

Acute myeloid leukemia (AML)

A case report about a female patient suffering from symptoms associated with AMLThe patient was prescribed an integrated approach including Yagya Therapy (using an appropriate herbal formulation - hawan samagri), and some other Ayurvedic interventions like decoction of medicinal herbs, Ayurvedic medicines, dietary recommendations, etc.

Full relief in breathlessnessFull relief in vomiting Full relief in bleeding piles~75% relief in constipation~75% relief in loss of appetite~75% relief in body painNotable relief (~50%) in other complaints like sleeplessness, stress, depression, etc.

[44]

- Breast cancer (BC)- Mouth cancer (MC)- Chronic myeloid leukemia (CML)

Three case studiesEvaluated effect on quality of life (QOL) using self-prepared 10-scale questionnaireYagya Therapy prescribed as supportive care along with standard allopathic treatment

Improvement in QOL after taking Yagya Therapy for-12 months - BC patient7 months - MC patient2 months - CML patient

[45]

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Epileptic seizures

A case report about a male patient suffering from epileptic seizures since past 13 yearsPrescribed an integrated approach including Yagya Therapy (using an appropriate herbal formulation - hawan samagri), and some other Ayurvedic interventions like decoction of medicinal herbs, Ayurvedic medicines, dietary recommendations, etc.

Earlier, patient experienced seizure episodes, at least once every 7 to 10 daysAfter starting the integrated approach, patient did not experience any seizure episode up to his second visit, i.e. for about 54 daysAlso felt relief in complaint of vibration in entire body

[46]

Epileptic seizures

A case report about a male patient suffering from epileptic seizures since about 3 yearsPrescribed Yagya-Therapy, which had to be taken along with the ongoing allopathic medication

Earlier, he had ~8-10 seizure episodes annuallySubsequently, he did Yagya-Therapy for ~3.5 years, wherein only 2 to 3 episodes occurred during the first year, that too during sleep only, and after that no seizures were experienced

[47]

Sub-clinical hypothyroidism (SCH)

A case study about a male patient suffering from SCH since >2yearsHad been taking allopathic medication for SCH, B12 complex and high blood pressure, but TSH never became normalTook Yagya Therapy for 3 months as an add-on therapy

TSH levels became normal (3.0 µ/ml)Low levels of B12 (238-326 pg/ml) increased to upper side of normal range (1034 pg/ml)Tiredness, weakness, sleep issues were fully resolved

[48]

Osteoarthritis (OA) of the knee

A case report about a male patient suffering from OA in right kneePrescribed an integrated approach including Yagya Therapy (using an appropriate herbal formulation - havan-samagri), and some other Ayurvedic interventions like decoction of medicinal herbs, Ayurvedic medicines, dietary recommendations, etc.

Full relief in excruciating knee-pain and the resulting limping gaitNo problem in walking up to half a kilometerCould change posture from sitting to standing, and vice-versa without supportCould sit cross legged on the floor without any discomfort

[49]

Obsessive-Compulsive Disorder (OCD) and Poly Cystic Ovarian Disease (PCOD)

A case report about a female patient suffering from symptoms of OCD (since past 19 years) and PCODPrescribed an integrated approach including Yagya Therapy (using an appropriate herbal formulation - havan-samagri), and some other Ayurvedic interventions like decoction of medicinal herbs,

Full relief in PCODMenses became regularFull relief in vomitingNormal blood pressure~75% relief in sleeplessness~75% relief in weakness~75% relief in loss of appetiteNotable relief in stress

[50]

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Ayurvedic medicines, dietary recommendations, etc.

In one more case study#, a female patient suffering from acute pulmonary edema and mild cardiomegaly, along with symptoms of severe breathlessness, low grade fever, node in the chest, sleeplessness, etc., was prescribed an integrated approach including Yagya Therapy (using an appropriate herbal formulation - havan samagri), and some other Ayurvedic interventions like decoction of medicinal herbs, Ayurvedic medicines, dietary recommendations, etc., which had to be taken alongside the already continuing allopathic treatment (which continued simultaneously for about 2.5 months). As per a feedback taken after about two years of starting the integrated approach, the patient had experienced complete relief in low grade fever, sleeplessness, body pain, loss of appetite, constipation and weakness; complaint of breathlessness was almost completely resolved; node in the chest had disappeared about seven months after starting the integrated approach.#Shrivastava V, Batham L, Mishra S, Mishra A. Application of an integrated approach including yagya therapy for the management of acute pulmonary edema with mild cardiomegaly. Ayurveda evam Samagra Swasthya Shodhamala. 2020;2(1):1. https://sites.google.com/dsvv.ac.in/shodhamala-dahh/asssm21/asssm211

5. Ayurvedic perspective about epidemics and the therapeutic effect of Yagya / Herbs / Mantra as mentioned in ancient Vedic scriptures

The ancient Indian texts of Ayurvedic system of medicine, Charaka Samhita (Vimana Sthana - Chapter 3) [5,7] and Sushruta Samhita [6,8,9], contain detailed discussion about epidemics, which has been mentioned therein as Janapadodhvansa.

5.1 Causes and symptoms of epidemics

5.1.1 Details in Charaka Samhita

Looking at the importance of this topic, Acharya Charaka has designated a full chapter to the same in Charaka Samhita (Vimana Sthana - Chapter 3) (from page 768 of [5]) that talks at length about the causes, symptoms, and relief measures for Janapadodhvansa (destruction of communities - depopulation through epidemics). The excerpts of the English translation of various verses are as follows.

The chapter begins with the declaration that it will describe the depopulation through epidemics (Charaka Vimana 3/1 - pg. 768 [5]).

The chapter begins by the statement that the stars, the planets, the moon, the sun, the wind, the temperature, etc. are presenting their abnormal aspect, thus pretending abnormal seasonal fluctuations. As a result of this abnormality, the earth will fail to produce the herbs having the right qualities of taste, potency, post-digestive effects, and specific action. In consequence of this failure, there will ensue a marked prevalence of disease (Charaka Vimana 3/4 - pg. 769 [5]).

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What are the symptoms in the nature and society that may lead to the occurrence of Janapadodhvansa (destruction of population)?

The factors that affect the people in common are (Charaka Vimana 3/6 - pg. 771 [5]): Wind Water Country Season

Next, the properties of wind, water, country and season are described that are disease-inducing and foretell the occurrence of Janapadodhvansa (Charaka Vimana 3/7 - pg. 771-774 [5]). Some of these are as follows:

Wind [5] Unseasonal Violently blowing Exceedingly rough Intensely cold Intensely hot Excessively dry Excessively humid Fearfully clamorous Blowing from contrary directions and clashing with itself Extremely rotatory Charged with unwholesome odors, moisture, sand, dust and smoke

Water [5] Having an extremely aberrant smell, color, taste and touch Abounding with putrescent (decaying, rotting) matter Deserted by aquatic birds In which aquatic creatures are atrophied Which is unpleasant

Country [5] Abounding in mosquitoes, flies, mice, etc. Woods of weeds Where winds are smoky Where animals and birds are always in a state of alarm and pain Where amidst the people - morality, truth, modesty, custom, character and virtue have either declined, or been given up Where waters are always agitated Frequently subjected to thunderbolts, earthquakes The sun, the moon and stars are frequently covered by dry, coppery, grey clouds Which is full of constant alarm and lamentation, crying, fright

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Season [5] Has characteristics that are opposite to normal

The ascending scale of importance of these factors in causing Janapadodhvansa is:Season > Country > Water > Windby virtue of the degree of their indispensability (Charaka Vimana 3/9,10 - pg. 774 [5]).

What makes the wind, etc. inclement (unwholesome)?The role of unrighteousness in the population is described here (Charaka Vimana 3/19 - pg. 776 [5]).

Answer: (Charaka Vimana 3/20 - pg. 777,778 [5])The deterioration of the winds, etc. has its origin in the unrighteous deeds (Pragyaparadha (Charaka Sharira 1/98-109 [51]) - Adharma).When the ruling authorities of the country, cities, trade-guilds, etc., govern the people irresponsibly by transgressing the law, then their subordinates, town-folks, village-folks, those who earn a living through some profession, tend to promote the growth of lawlessness. As a result, disorder swallows up all order. Thereafter, these people, are given up even by the Gods.It is then that the seasons change adversely for these people, from whom the law has receded, whose actions have become unlawful, and who are foresaken by the Gods.

On account of this - The heavens rain, not in season, or never at all, or abnormally The winds do not blow rightly The earth is afflicted The waters dry up The herbs lose their true properties and suffer deterioration

In consequence, the people perish as the result of infectious contact or ingestion.

In the same manner, it is unrighteousness alone that is the cause of destruction of people by armaments (Charaka Vimana 3/21 - pg. 778 [5]):

those who are moved by extravagant greed, anger, folly, or arrogance, despising the weak for the destruction of themselves, their people and the enemy

come into armed conflict either among themselves or with others, or they themselves are attacked by others

The destruction that springs from a curse that has unrighteousness for its motive force - it is those who are guilty of dereliction of duty, that by disrespecting the preceptors, elders, seers, and the worshipful ones, act injuriously to themselves (Charaka Vimana 3/23 - pg. 779 [5]). Being cursed by these preceptors and other - to perish in company with their kith and kin - they are soon reduced to ashes.

Even in ancient times, calamities never resulted from any factor other than unrighteousness (Charaka Vimana 3/24 - pg. 779 [5]).

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How does one disease affect all kinds of people?But, how does the simultaneous destruction of communities, consisting, as they do, of individuals who differ from one another in constitution, diet, physique, vitality, habits, psychic makeup, and age, take place by the incidence of one single disease? (Charaka Vimana 3/5 - pg. 770 [5])?

Answer - Though a community may be heterogeneous in respect of the constitution, etc., of its individual members, there are other common factors (described above), which being adversely affected, will cause simultaneous outbreak of diseases having similar symptoms. It is these that devastate whole populations (Charaka Vimana 3/6 - pg. 771 [5]).

5.1.2 Details in Sushruta Samhita

The details with regards to Janapadodhvansa in Sushruta Samhita (Sutra Sthana - Chapter 6 - Verse 19,20) (volume I - pg. 42 of [8]) (pg. 42 of [9]) are as follows (the disease symptoms are clearly mentioned here):

Sometimes even with regular seasons, the people of a country suffer through some sorcery, or some curse, or the wrath of evil spirits, or the wickedness (unrighteous behavior) of men; when the wind that blows into the country is vitiated by the odor of poisonous flowers and plants;as a result, its people are attacked with:

cough dyspnoea asthma vomiting nasal catarrh (common cold) headache fever, etc.

without any particular reference to the condition of their Doshas (humors) (at the time), but simply owing to the (noxious) influence of the planets, or lunar asterisms, or due to evil qualities in one's house, or furniture, or vehicles, or utensils, etc. (Sushruta Sutra 6/19 [8,9]).

5.2 Suggested management of diseases that affect people during epidemics

Charaka Samhita (Vimana Sthana - Chapter 3) [5,7] and Sushruta Samhita [6,8,9], contain specific guidelines with regards to the treatment of diseases that affect people during Janapadodhvansa.

5.2.1 According to Acharya Charaka (Charaka Vimana 3/8,13-18 [5])

With a view to preserve life, the following things have been indicated as "medicine" in such terrible time (Charaka Vimana 3/15-18 - pg. 776 [5]):

Truthfulness Compassion for creatures Charity

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Sacrifices (of one's own vices, and not of any living creature) Worship of the Gods Observance of right conduct Tranquility (Prophylactic) protection of oneself Residing in a wholesome country Keeping of continence and the company of the continent Consulting the scriptures and the great self-restrained sages Constant association with the righteous, the well-dispositioned, and those who are

approved of by the elders

There is no fear of diseases to those persons who are served with medicines that have been culled beforehand (Charaka Vimana 3/8 - pg. 774 [5]).

The purification procedure (consisting of emetics, purgatives, dry and unctuous enemata and errhine), is said to be the best of medicaments (Charaka Vimana 3/13 - pg. 775 [5]).

The rightful use of vitalising medications is recommended (Charaka Vimana 3/14 - pg. 775 [5]).

5.2.2 According to Acharya Sushruta (Sushruta Sutra 6/20 [8,9])

In such a case the impending evil may be turned into good by: Change of place of living (Performing) propitiatory or expiatory rites (Performing) auspicious rituals Hymn chanting Making oblations in the fire (ceremonies) (Righteous) offerings (to Gods) Dedications Donations Salutations with folded hands (to deities) Practicing devotion Practicing asceticism and penance Observance of restraints and vows Feeling kindness and compassion Offering charities Reception of mantras Following the advice of, and staying in company of (Gods, righteous people, and

Gurus)Any of these means may be resorted to with reference to Devas (Gods), or Brahmans (righteous people), or Gurus (spiritual guides).By these, there will be great benefits (Sushruta Sutra 6/20 [8,9]).

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5.2.3 Statements regarding the utility of herbs in treating diseases caused during epidemics

According to Acharya CharakaTherefore, well before such calamities occur, and well before the earth has lost her savour, collect the medicinal herbs while yet their taste, potency, post-digestive effects and specific actions remain unvitiated (Charaka Vimana 3/4 - pg. 769 [5]). We shall thus, when the occasion arises, make use of the taste, potency, post-digestive effects, and the specific actions of these herbs for the benefit of those who desire us, and also those whom we desire (Charaka Vimana 3/4 - pg. 769 [5]). Nor indeed, are counter-measures to epidemics that destroy populations, a difficult matter, provided the medicinal herbs are properly culled, properly prepared, and properly administered (Charaka Vimana 3/4 - pg. 770 [5]).

According to Acharya SushrutaOn the other hand, irregularity in the seasons occurs owing to fate / providential causes. Cold, heat, wind and rain, when they are irregular (either in amount or incidence), cause the herbs and water to become unwholesome, and their use produces all sorts of diseases (of mind and body), or even deadly epidemics. Hence, the use of wholesome herbs and water is recommended (for curing the diseases and epidemics) (Sushruta Sutra 6/16-18 [8,9]).

5.3 How does Yagya incorporate the management measures suggested above?

Most of the remedial measures suggested above by Acharya Charaka and Acharya Sushruta are covered in the methodology and philosophy of Yagya, which is an extremely ancient Indian therapeutic procedure [1-4,10].

(Performing) auspicious rituals - Yagya is an ancient auspicious ritual [10] Hymn chanting - Vedic hymns, that are intense spiritual prayers to God for the well

being of the entire cosmos, are chanted in Yagya [1,10] Making oblations in the fire (ceremonies) - Oblations of mixture of medicinal herbs

(havan samagri) are made in the fire of the Yagya for purification of environment and treatment of diseases [1,10]

(Righteous) offerings (to Gods) - One of the basic feelings of Yagya [10] Dedications - One of the basic feelings of Yagya [10] Donations - One of the basic feelings of Yagya [10] Salutations with folded hands (to deities) - Several hymns that are chanted are

heartfelt devout salutations [10,11] Practicing devotion - One of the basic feelings of Yagya [10] Practicing asceticism and penance - One of the basic feelings of Yagya [10] Observance of restraints and vows - The offering made to God under Deva Dakshina,

wherein at least one vice is left, and at least one virtue is adopted in its place (pg. 48 of [10])

Feeling kindness and compassion - One of the basic feelings of Yagya [10] Offering charities - One of the basic feelings of Yagya [10] Following the advice of, and staying in company of (Gods, righteous people, and

Gurus) - One of the basic feelings of Yagya [10] The rightful use of vitalising medications is recommended - Efficient pulmonary

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inhalation of medicinal herbs, having therapeutic and rejuvenating properties, takes place during Yagya [1]

5.4 References from ancient Vedic scriptures that describe the therapeutic effects of Yagya / Herbs / Mantra

Ancient Vedic scriptures describe the treatment of wide range of diseases (both infectious and non-infectious) and restoration of good health through Yagya / Herbs / Mantra [52]. Some such references are compiled in Table 4.

Table 4: Treatment of various diseasesand restoration of good health through Yagya / Herbs / Mantra, as mentioned in ancient Vedic scriptures.

Scripture Verse Disease Treated / Improvement in Health / Description

Ref

Atharvaveda 3/11/1,2 Yagya cures Yakshma, Rajayakshma (symptoms similar to Tuberculosis) patient, even from the last stage condition

[53]

Atharvaveda 7/80/4 Herbal medicines, mantras cure patient of Kshayaroga (symptoms similar to Tuberculosis)

[53]

Atharvaveda 7/81/1 In a house where Yagya is done, how can Kshayaroga (symptoms similar to Tuberculosis) occur there?

[53]

Atharvaveda 9/13/10,11 Use of mantras to remove Yakshma roga (symptoms similar to Tuberculosis) related toxins and associated disorders from the body

[53]

Atharvaveda 9/13/19 Use of medicinal herbs to remove Yakshma roga (symptoms similar to Tuberculosis) related toxins and associated disorders from the body

[53]

Atharvaveda 20/96/6 Relief from Rajayakshma (symptoms similar to Tuberculosis) and other unknown diseases through Yagya

[53]

Atharvaveda 9/13/20 Use of mantras to remove the toxins related with Visalpa (Peeda - pain), Vidradha (Soojan - swelling), Vataroga (Vata related disorders) and Alaji (eye disorders) from the body

[53]

Atharvaveda 6/90/2 Use of medicinal herbs to detoxify different body parts and veins of a patient suffering from pain (shoola rogi)

[53]

Atharvaveda 20/96/14 Eradication of diseases that affect the fetus, with the help of Fire God

[53]

Atharvaveda 3/11/3,4 Havi (herbal oblation in Yagya) that provides longevity has caused revival of the patient

[53]

Atharvaveda 20/96/8,10 Provided protection to life by offering oblations (in Yagya) meant for longevity - Brought back diseased person from the clutches of death

[53]

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Atharvaveda 8/1/3 Use of mantras to provide relief from diseases that cause deterioration of health

[53]

Rigveda 1/72/6 Protection of Jivani-Shakti (vital life force) through Yagya

[54]

Atharvaveda 5/23/4,5,8,10 Different kinds of harmful worms are destroyed by mantras

[53]

Atharvaveda 5/23/11 Different kinds of harmful worms are destroyed by mantras and medicinal herbs

[53]

6. Conclusion

Yagya has been one of the core elements of the ancient Indian Culture ever since the Vedic era, and is also an effective therapeutic procedure. The present review article explored the applicability of Yagya during the present time, as a therapeutic procedure for the management of respiratory ailments. Based on the information presented herein, the applicability of Yagya in the present time seems to be a promising possibility, that is worth exploring further through proper experimentation and analysis.

AcknowledgementsAuthors would like to acknowledge the subtle guidance of their spiritual guide, Revered Pandit Shriram Sharma Acharya (http://www.awgp.org/about_us/patron_founder), who founded the organization - All World Gayatri Pariwar. Authors express their sincere gratitude and reverence for all those who have contributed to the development of this extraordinary science of Yagya for the welfare of humanity and nature, from the ancient times till the present date.

Conflict of interestThe authors declare that they have no conflict of interest.

References

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2. Brahmavarchas. Yagya chikitsa (Hindi). Haridwar, Uttarakhand, India: Shri Vedmata Gayatri Trust (TMD), Shantikunj; 2016.

3. Brahmavarchas. Yagya ka gyan-vigyan (Hindi). Pandit Shriram Sharma Acharya samagra vangamaya. volume 25. Mathura, Uttar Pradesh, India: Akhand Jyoti Sansthan; 1998.

4. Brahmavarchas. Yagya - ek samagra upachar prakriya (Hindi). Pandit Shriram Sharma Acharya samagra vangamaya. volume 26. revised ed. Mathura, Uttar Pradesh, India: Akhand Jyoti Sansthan; 2012.

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